FDA Adverse Event Malfunction Summary report: N

CODMAN BACTISEAL EVD CATHETER

MDR report key: 23037988 · Received September 12, 2025

Report

Report Number
3013886523-2025-00244
Event Type
Malfunction
Date Received
September 12, 2025
Date of Event
August 17, 2025
Report Date
December 18, 2025
Manufacturer
INTEGRA LIFESCIENCES MANSFIELD
Product Code
JXG
UDI-DI
10381780515593
PMA / PMN Number
K233448
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: D4, D8, D9, G6, H1, H2, H3, H6, H8, H11. THE EVD CATHETER (ID 821745) WAS NOT RETURNED FOR EVALUATION, BUT A PHOTO WAS PROVIDED AND EVALUATED: SHOWING THE PRESENCE OF WHAT LOOKS LIKE HAIR INSIDE THE SEALED BLISTER. DEVICE HISTORY RECORD (DHR) - THE PRODUCT CODE 821745 WITH LOT 7452307 CONFORMED TO SPECIFICATIONS WHEN RELEASED TO STOCK FAILURE ANALYSIS - AFTER REVIEWING THE PHOTO PROVIDED BY THE CUSTOMER, WE CAN SEE THE PRESENCE OF WHAT LOOKS LIKE HAIR INSIDE THE SEALED BLISTER. ROOT CAUSE ANALYSIS - THE ROOT CAUSE FOR THE ISSUE REPORTED BY THE CUSTOMER WAS DUE TO A HUMAN ERROR. THE SPECS IN THE WORKING INSTRUCTION WERE NOT APPLIED. AN AWARENESS TRAINING WAS PERFORMED.

Additional Manufacturer Narrative · 0

AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

A FACILITY REPORTED A HAIR WAS FOUND INSIDE THE INNER STERILE PACKAGE OF AN EVD CATHETER (ID 821745). PACKAGE REMAINED SEALED AND A NEW ONE OPENED. NO SURGICAL DELAY, NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2655707 CODMAN BACTISEAL EVD CATHETER BACTISEAL EVD CATHETERS JXG INTEGRA LIFESCIENCES MANSFIELD 7452307 10381780515593

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown